Cobra Cartage, Inc. USDOT 622842

Total Number of Inspections for the measurement period (24 months)	2
Total Number of Driver Inspections for the measurment period	2
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation	0
Total Number of Vehicle Inspections for the measurement period	0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	0
Cobra Cartage, Inc. Unsafe Truck Driving Data
Number of inspections with at least one Unsafe Driving BASIC violation	0
Unsafe Driving BASIC Roadside Performance Measure Value	0
Unsafe Driving BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Cobra Cartage, Inc. Hours-of-Service (HOS) Data
Number of inspections with at least one Hours-of-Service BASIC violation	0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	0
Hours-of-Service (HOS) Compliance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Cobra Cartage, Inc. Truck Driver Fitness Data
Number of inspections with at least one Truck Driver Fitness BASIC violation	0
Truck Driver Fitness BASIC Roadside Performance measure value	0
Truck Driver Fitness BASIC Serious Violation Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Cobra Cartage, Inc. Controlled Substances and Alcohol Data
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation	0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation	0
Controlled Substances and Alcohol BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No
Cobra Cartage, Inc. Vehicle Maintenance Data
Number of inspections with at least one Vehicle Maintenance BASIC violation	0
Vehicle Maintenance BASIC Roadside Performance measure value	0
Vehicle Maintenance BASIC Acute/Critical Indicator (Yes = Acute/Critical from investigation within previous 12 months)	No

Insurance Form	Insurance Type	Insurance Carrier	Policy/Surety	Coverage Amount From	Coverage Amount To	Effective Date From	Effective Date To
91X	BIPD/Primary	Acuity, A Mutual Insurance Company	CA-Z21499	$0	$750,000	05/23/2015	?
91X	BIPD/Primary	Northland Insurance Company	TN428414	$0	$1,000,000	05/23/2004	05/23/2015 Replaced
91X	BIPD/Primary	Occidental Fire And Casualty Co. Of N.c.	CT00008370	$0	$1,000,000	05/23/2003	05/23/2004 Cancelled
91X	BIPD/Primary	Zurich American Insurance Company	BAP 526142400	$0	$1,000,000	10/08/2002	05/23/2003 Replaced
91X	BIPD/Primary	West Bend Mutual Insurance Co.	0110075128	$0	$1,000,000	05/29/2001	10/08/2002 Replaced
91	BIPD	West Bend Mutual Insurance Co.	0110075128	$0	$750,000	10/08/1998	01/27/2002 Name Changed
91X	BIPD/Primary	Continental Western Insurance Co.	9VR12	$0	$1,000,000	07/14/1998	11/13/1998 Cancelled
91X	BIPD/Primary	Continental Western Insurance Co.	9VR12	$0	$1,000,000	07/14/1998	10/08/1998 Replaced
91X	BIPD/Primary	Continental Western Insurance Co.	9VR12	$0	$1,000,000	04/18/1998	07/14/1998 Cancelled
91	BIPD	West Bend Mutual Insurance Co.	011 007 51 28	$0	$750,000	03/25/1997	04/18/1998 Replaced
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP 011578	$0	$750,000	03/25/1996	03/25/1997 Cancelled
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP011531	$0	$750,000	12/22/1995	03/25/1996 Replaced
91X	BIPD/Primary	Mga Insurance Company, Inc.	MPP011531	$0	$750,000	12/22/1995	03/25/1996 Cancelled
34	CARGO	Northland Insurance Company	TN428414	$0	$5,000*	05/23/2004	06/24/2011 Cancelled
34	CARGO	Occidental Fire And Casualty Co. Of N.c.	CT00008370	$0	$5,000*	10/21/2003	05/23/2004 Cancelled
34	CARGO	Fireman's Fund Insurance Co.	MXI97905638-CGO	$0	$5,000*	10/08/2002	07/24/2003 Cancelled
34	CARGO	West Bend Mutual Insurance Co.	0110075128	$0	$5,000*	05/29/2001	10/08/2002 Replaced
34	CARGO	West Bend Mutual Insurance Co.	0110075128	$0	$5,000*	05/29/2001	05/29/2001 Replaced
34	CARGO	West Bend Mutual Insurance Co.	0110075128	$0	$5,000*	03/08/1999	01/27/2002 Name Changed
34	CARGO	Continental Western Insurance Co.	9VR12	$0	$5,000*	04/18/1998	07/14/1998 Cancelled
34	CARGO	Lumbermens Mutual Casualty Co.	3AT 642 161	$0	$5,000*	02/19/1998	04/05/1999 Cancelled
34	CARGO	Lumbermens Mutual Casualty Co.	3AT 642 161	$0	$5,000*	02/19/1998	04/18/1998 Replaced
34	CARGO	Great American Insurance Company Of New York	IMP 9866846	$0	$5,000*	12/20/1995	02/19/1998 Replaced

* If a carrier is in compliance, the amount of coverage will always be shown as the required Federal minimum ($5,000 per vehicle, $10,000 per occurrence for cargo insurance and $75,000 for bond/trust fund). The carrier may actually have higher levels of coverage.';

Northland Insurance Company 385 WASHINGTON STREET MAIL CODE 103 ST. PAUL, MN Fax:(651)310 - 4949	Occidental Fire And Casualty Co. Of N.c. P.O. BOX 3328 OMAHA, , N Fax:(402)342 - 0095	Fireman's Fund Insurance Co. 777 SAN MARIN DRIVE NOVATO, CA Fax:(415)899 - 3600
Continental Western Insurance Co. P O BOX 1594 URBANDALE, IA Fax:(515)473 - 3014	Great American Insurance Company Of New York 580 WALNUT ST. CINCINNATI, OH Fax:(513)369 - 3655	Lumbermens Mutual Casualty Co. ONE KEMPER DRIVE LONG GROVE, IL Fax:(847)320 - 7170
Acuity, A Mutual Insurance Company 2800 SOUTH TAYLOR DR. SHEBOYGAN, WI Fax:(920)458 - 1618	Mga Insurance Company, Inc. 500 COMMERCE STREET FORT WORTH, TX	Zurich American Insurance Company 1400 AMERICAN LANE SCHAUMBURG, IL Fax:(410)261 - 7955
West Bend Mutual Insurance Co. 1900 SOUTH 18TH AVENUE WEST BEND, WI Fax:(608)410 - 3412